Healthcare Provider Details

I. General information

NPI: 1285612218
Provider Name (Legal Business Name): JANICE M SEEVER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANICE M LAGER CRNA

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 CLIFF AVE STE 101
INDEPENDENCE MO
64055
US

IV. Provider business mailing address

4801 CLIFF AVE STE 100 ADMINISTRATION
INDEPENDENCE MO
64055
US

V. Phone/Fax

Practice location:
  • Phone: 816-478-4400
  • Fax: 816-478-8240
Mailing address:
  • Phone: 816-350-4536
  • Fax: 816-350-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number111100
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number54567
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1459427111
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: